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ANUP SHAH
NPI 1285088823
Internal Medicine - Gastroenterology in Lumberton, NJ

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
693 MAIN ST BUILDING A STE 2, LUMBERTON, NJ 08048(609) 265-1700(609) 265-8146 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Oct 8, 2024, Sep 15, 2022 and 1 more (4 updates tracked since 2022).

About Anup Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANUP SHAH (NPI 1285088823) is an individual gastroenterology provider in Lumberton, New Jersey, licensed in New Jersey (25MA11384000) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Mount Holly.

NPPES Registry Identity

NPI1285088823
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANUP SHAH
Location Address693 MAIN ST BUILDING A STE 2Lumberton, NJ 08048-5043
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (609) 265-1700 · Fax (609) 265-8146
Phone(609) 265-1700
Fax(609) 265-8146
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateDecember 17, 20244 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1285088823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA11384000
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
693 MAIN ST BUILDING A STE 2, Lumberton, NJ 08048
Open in Google Maps ↗

Secondary Practice Location 1

Location 1175 Madison Ave Uppr LevelMount Holly, NJ 08060-2099 · Phone (609) 265-1700 · Fax (609) 265-9005

Other Identifiers 1

Medicaid0838195NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anup Shah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941546147
PECOS Enrollment IDI20220808000545
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
282 services151 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services91 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services116 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
86 services77 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
75 services72 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JITHA RAI-PATEL MD
Internal Medicine (Gastroenterology)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048
Burlington County (609) 265-1700
DR. MAYANK LAHOTI D.O
Internal Medicine (Gastroenterology)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048
Burlington County (609) 265-1700
JENNA BEREZANSKY PA-C
Physician Assistant (Medical)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048
Burlington County (609) 265-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anup Shah's NPI number?

The NPI number for Anup Shah is 1285088823. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Anup Shah located?

Anup Shah practices at 693 Main St Building A Ste 2, Lumberton, NJ 08048. The listed phone number is (609) 265-1700.

What is Anup Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anup Shah enrolled in Medicare?

Yes. Anup Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anup Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anup Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anup Shah affiliated with any hospitals?

According to CMS data, Anup Shah is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Anup Shah was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.